[Leish-l] Fwd: FW: PRO/AH/EDR> Leishmaniasis - Pakistan: (TA)

Tue Feb 4 11:42:33 BRST 2014

Subject: FW: PRO/AH/EDR> Leishmaniasis - Pakistan: (TA)


> 2014-02-03 <promed at promedmail.org>:
> >
> > LEISHMANIASIS - PAKISTAN: (FEDERALLY ADMINISTERED TRIBAL AREAS)
> > ***************************************************************
> > A ProMED-mail post
> > <http://www.promedmail.org>
> > ProMED-mail is a program of the
> > International Society for Infectious Diseases
> > <http://www.isid.org>
> >
> > Date: Mon 3 Feb 2014
> > Source: The News, Pakistan [edited]
> > <
http://www.thenews.com.pk/Todays-News-7-230240-254-fall-victim-to-Leishmaniasis-in-Lan
>
> >
> >
> > Officials at the Agency Headquarters Hospital in Landikotal said on
> > Sunday [2 Feb 2014] that they had diagnosed over 254 patients with
> > leishmaniasis.
> >
> > However, they claimed to have initiated an awareness campaign against
> > the disease in the entire Khyber Agency. Agency Surgeon Dr Abdur
> > Rehman told The News that health officials had detected 254 patients
> > in Landikotal tehsil [a tehsil is an administrative division] in
> > January 2014, which comprised mostly women and children.
> >
> > The health official said that the disease is caused by the bite of
> > sand flies, which have invaded most parts of Fata [Federally
> > Administered Tribal Areas]. "Though we have registered and diagnosed
> > hundreds of leishmaniasis cases in Landikotal in the past few months,
> > the disease is rampant in most parts of Fata, as tribesmen are not
> > fully aware about the gravity of this disease and the free treatment
> > provided by the Directorate of Health Fata," Dr Rehman said.
> >
> > He said it was unfortunate that most of such cases were laying hidden
> > inside houses in most tribal areas due to lack of awareness among the
> > masses. He said the disease could easily be communicated to members of
> > a family when a sand fly bites one person in a house. Dr Rehman Afridi
> > said the case reporting has registered a sharp rise in recent days as
> > an effective anti-leishmaniasis campaign has been launched in all the
> > 3 tehsils of Khyber Agency.
> >
> > Regarding the root of the sand fly, he said it had come from bordering
> > areas of Afghanistan. He said a study conducted by the department
> > showed that most affected patients belong to border areas. Some
> > patients at the AHQ hospital in Landikotal, however, complained that
> > they were facing difficulties in getting free and timely treatment.
> > They said they had repeatedly approached the medical superintendent of
> > the hospital but to no avail.
> >
> > Most of the patients belong to poor families who are unable to afford
> > the costly treatment on their own. Local elders also demanded that the
> > health authorities ensure timely distribution of mosquito nets. They
> > alleged that nets were given to undeserving and comparatively well-off
> > people instead of underprivileged people. They said that, hopefully,
> > timely and judicious distribution would help stop leishmaniasis.
> >
> > --
> > communicated by:
> > ProMED-mail
> > <promed at promedmail.org>
> >
> > [Landikotal is located close to the border between Pakistan and
> > Afghanistan on the Peshawar-Kabul highway.
> >
> > Leishmaniasis, mainly cutaneous leishmaniasis [CL], is rampant in
> > Afghanistan and Pakistan. Control measures completely ceased under the
> > Taliban regime, and control measures are still grossly inadequate in
> > both Afghanistan and Pakistan.
> >
> > In Pakistan, CL is a major and fast increasing public health problem,
> > both among the local Pakistani population and the Afghan refugees in
> > camps. Its extensive spreading has been associated with mass
> > migration, from endemic to non-endemic areas and vice versa, and with
> > Afghan refugees from areas where CL is highly endemic. Outbreaks are
> > frequent -- for example, in early 2011 in Mianwali, Punjab province,
> > which is a bordering district with Kyber Pakhtunkhwa province, and
> > probably cases have come from Afghan refugees residing in the area.
> >
> > In Afghanistan, CL is well known under the name "saldana" ("that which
> > lasts one year"). Leishmaniasis in Afghanistan was almost eradicated
> > in the 1960s and 70s, when an extensive DDT spraying campaign greatly
> > reduced the sandfly population. However, CL by _L. tropica_ has now
> > returned as a major public health problem.
> >
> > CL is underreported. Surveys consistently show higher case numbers
> > than the officially reported ones. Reporting systems are weak, and
> > many patients resort to the informal private sector because of the
> > lack of drugs in government clinics.
> >
> > The above citations are both from: Alvar J, et al. Leishmaniasis
> > worldwide and global estimates of its incidence. PloS One Published:
> > 31 May 2012, DOI: 10.1371/journal.pone.0035671.
> > <
http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.0035671#pone.0035671.s086
>.
> > - Mod.EP
> >
> > A HealthMap/ProMED-mail map can be accessed at
> > <http://healthmap.org/r/1iGJ>.]
> >
> > [See Also:
> > 2013
> > ---
> > Leishmaniasis - Pakistan (02): (FATA), cutaneous 20130518.1722196
> > Leishmaniasis - Pakistan: (KP) 20130303.1568339
> > 2012
> > ---
> > Leishmaniasis - Pakistan (03): (KP) 20121228.1473148
> > Leishmaniasis - Pakistan (02): (KP) 20121122.1420716
> > Leishmaniasis - Pakistan: (KP) cutaneous 20120429.1117486
> > Leishmaniasis - UK ex Afghanistan: military 20120108.1003634
> > 2010
> > ---
> > Leishmaniasis - Afghanistan (03): (HR) 20101106.4015
> > Leishmaniasis - Afghanistan (02) 20101016.3753
> > Leishmaniasis - Afghanistan 20101016.3750
> > 2007
> > ---
> > Leishmaniasis - Afghanistan 20070508.1487
> > 2005
> > ---
> > Leishmaniasis - Pakistan (Balochistan, Sindh)(02) 20050206.0403
> > Leishmaniasis - Pakistan (Balochistan, Sindh) 20050113.0115
> > 2004
> > ---
> > Leishmaniasis - Pakistan & India: background 20040201.0392
> > Leishmaniasis - Pakistan (Sind) (02) 20040127.0324
> > Leishmaniasis - Pakistan (Sind): correction 20040125.0305
> > Leishmaniasis - Pakistan (Sind): correction 20040125.0304
> > Leishmaniasis - Pakistan (Sind) 20040126.0309
> > 2003
> > ---
> > Leishmaniasis - Iraq, Kuwait, Afghanistan: military 20031024.2669
> > Leishmaniasis - Afghanistan 20030909.2267
> > 2002
> > ---
> > Leishmaniasis - Afghanistan (07) 20020703.4662
> > Leishmaniasis - Afghanistan (06) 20020629.4633
> > Leishmaniasis - Afghanistan (04) 20020523.4304
> > Leishmaniasis - Afghanistan (03) 20020515.4212
> > Leishmaniasis - Afghanistan (03) 20020512.4178
> > Leishmaniasis - Afghanistan (02) 20020511.4161
> > Leishmaniasis - Afghanistan (Kabul): alert 20020508.4134]
> > .................................................sb/ep/msp/sh
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